Fill out the form below to request a training or to get technical assistance from CCASA! Name* First Last Job Title* Organization/Company:* CCASA Membership Status:*Agency MemberIndividual MemberNot a MemberEmail:* Phone:Request Type*TrainingTechnical AssistanceRequested Training/Technical Assistance Topic*Requested Training/Technical Assistance Format*In-Person at CCASA/in DenverIn-Person at your agency/in your regionPhone/Email/Web-BasedOtherIf other, what format would you need?*If CCASA training staff is traveling for an in-person meeting at your agency/in your region, what type of training equipment is available at the anticipated training site? (A/V, projector/screen, speakers, white board, etc.):*Describe Your Training/Technical Assistance Request: Please give CCASA as much information as possible regarding the topics to be covered, preferred location, any accommodations needed, etc.*Desired competency level for this training:*IntroductoryIntermediateAdvancedLength of Training (in hours):* Approximately how many participants will be attending the training?*Please enter a number greater than or equal to 1.What is your preferred day and time for the requested training/technical assistance to take place?* What skills are participants hoping to gain from this training, and what previous training have they received in this area?*Please provide any additional information that will help CCASA meet your training/technical assistance needs:*Privacy* By using this form you agree with the storage and handling of your data by this website. * Δ
